77084 — MRI Bone Marrow Blood Supply
Cite this view
HANK Price Transparency. (n.d.). MRI BONE MARROW BLOOD SUPPLY (HCPCS 77084) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77084?code_type=HCPCS
“MRI BONE MARROW BLOOD SUPPLY (HCPCS 77084) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77084?code_type=HCPCS. Accessed .
“MRI BONE MARROW BLOOD SUPPLY (HCPCS 77084) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77084?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $247–$1,186 (25th–75th percentile) across 1,735 hospitals · 4,265 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 77084 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
The middle 50% of negotiated facility rates for this procedure, measured across 1,735 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $423 |
| Radiologist read Estimate national typical Medicare $73 × 1.8 commercial. | $132 |
| Likely subtotal | $555 |
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,670.00 | — | 2025-06-28 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $4.83 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.34 | — | — | 2026-05-06 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $6.47 | — | — | 2026-03-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.53 | $3,630.00 | $256.39 | 2024-12-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $6.66 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $9.81 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.87 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.87 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.68 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $11.86 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.86 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.86 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $12.18 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.50 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $12.82 | $3,206.00 | $3,045.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $15.64 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $15.64 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $15.96 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $16.60 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.16 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.16 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $17.24 | $3,192.00 | $3,032.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $17.52 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.52 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.23 | $3,575.00 | $3,396.25 | 2026-02-20 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $21.21 | — | — | 2025-12-31 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $95.00 | $95.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $95.00 | $95.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $95.00 | $95.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $95.00 | $95.00 | 2026-05-09 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $37.96 | — | — | 2026-03-04 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $41.78 | $600.00 | $2,256.30 | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $43.34 | $2,602.00 | — | 2026-03-31 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $43.86 | — | — | 2026-04-01 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Aetna Better Health Ky | Managed Care Medicaid Plan | $45.58 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Passport Ky | Managed Care Medicaid Plan | $47.40 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Humana Ky | Managed Care Medicaid Plan | $47.86 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Wellcare Ky | Managed Care Medicaid Plan | $47.86 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | United Health Care Ky | Managed Care Medicaid Plan | $48.08 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] | UNITED HEALTH CARE MEDICAID [900401] | $48.14 | $146.00 | $146.00 | 2026-03-23 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY | $49.33 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | NORTHWEST PHYSICIAN NETWORK | $49.33 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | UHC Apple Health | UNITED HEALTH CARE AH | $49.33 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | OPTUM MCR ADV-ALL PLANS | OPTUM MCR ADV-ALL PLANS | $49.41 | $259.00 | $207.20 | 2026-01-16 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $669.00 | $147.18 | 2026-03-19 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Anthem In | Managed Care Medicaid Plan | $50.20 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Simply | Medicaid HMO | $50.30 | — | — | 2025-10-24 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $50.90 | $377.00 | $282.75 | 2026-01-16 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Adult | $51.12 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Community Care TennCare Pediatric | $51.12 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Community Care TennCare Adult | $51.12 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| BONNER GENERAL HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $51.52 | $259.00 | $207.20 | 2026-01-16 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Mhs In | Managed Care Medicaid Plan | $51.71 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA BEHAVIORAL HEALTH ONLY | $51.91 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH BLIND_DISABLED | $51.91 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Inpatient | Molina Apple Health | MOLINA AH | $51.91 | $261.00 | $234.90 | 2024-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | United HC | Medicaid HMO (MMG) | $52.70 | — | — | 2025-10-24 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Inpatient | Caresource In | Managed Care Medicaid Plan | $52.72 | $376.00 | $191.76 | 2026-05-09 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Humana | Humana Military East | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Humana | Humana Military East | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Humana | Humana Military East | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | $52.91 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | $52.91 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Humana | Humana Military East | $52.91 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | GENESEE HEALTH PLAN B [102204] | $52.95 | $146.00 | $146.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | KEY BENEFIT ADMINISTRATORS [1089] | KEY BENEFIT ADMINISTRATORS [108901] | $52.95 | $146.00 | $146.00 | 2026-03-23 | MRF ↗ |
| HURLEY MEDICAL CENTER Both | COUNTY HEALTH PLAN B [1022] | COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] | $52.95 | $146.00 | $146.00 | 2026-03-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $53.38 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $53.38 | — | — | 2025-12-23 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | CELTIC LIFE MEDICARE SUPPLEMENT [3045] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | FIRST CHOICE BENEFITS MGMT [3074] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID SC [300] | PHU HB SC MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - NGLTAC | $53.68 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | $54.49 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | $54.49 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | $54.49 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | $54.49 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Aetna | Aca | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | United Healthcare | Property And Casualty | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Bcbsnc | Blue Home | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Bcbsnc | Healthy Blue | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Bcbsnc | Blue Value | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Wellcare | Managedcaremcd | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Atlantic Corporation | Atlantic Packaging | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Amps | Amps | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Medcost | Non Mbs | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Amerihealth Caritas | Managedcaremcd | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Humana | Commercial | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Medcost | Mbs | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Humana | Bh Commercial | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Cigna | Team Member | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Cigna | Hmo/Ppo | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Aetna | Rental Network Products | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | United Healthcare | All Payor | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | United Healthcare | Onenet Workers' Compensation | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Cigna | Nc Ifp | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Eastpointe | Lme Mco | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Aetna | Aetna Whole Health Non-Multitier | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Three Rivers Provider Network | Three Rivers Provider Network | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Carolina Complete | Managedcaremcd | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Bcbsnc | Ppo Hmo | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Phcs | Private Hcs | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Aetna | Commercial Products | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | Aetna | Non-Par Products Of Apcn+ Non Multitier | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER Outpatient | United Healthcare | Managedcaremcd | — | $424.00 | $212.00 | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - NGLTAC | $55.29 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - NGLTAC | $55.29 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Wellpoint | Wellpoint Medicare | $55.55 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Wellpoint | Wellpoint Medicare | $55.55 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Wellpoint | Wellpoint Medicare | $55.55 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Wellpoint | Wellpoint Medicare | $55.55 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - NGLTAC | $55.83 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - NGLTAC | $56.36 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | $57.14 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Cigna | Cigna Medicare | $57.14 | $514.00 | $277.56 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Cigna | Cigna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Cigna | Cigna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Cigna | Cigna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | $57.14 | $514.00 | $149.06 | 2025-10-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - NGLTAC | $57.44 | $2,785.00 | $1,810.25 | 2026-03-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $57.47 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $57.47 | $971.00 | $582.60 | 2026-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.